Evans G A, Hardcastle P, Frenyo A D
J Bone Joint Surg Br. 1984 Mar;66(2):209-12. doi: 10.1302/0301-620X.66B2.6368563.
One hundred patients with acute ruptures of the lateral ligaments of the ankle were randomly allocated either to conservative treatment in a plaster cast or to operative repair. With the aid of stress tenography, the extent of the injury was established. There were 30 patients with isolated anterior talofibular ruptures and 20 with additional calcaneofibular ligament ruptures in each treatment group. Operative repair was associated with a higher incidence of complications in the first weeks, and slightly delayed the patients' return to work. At an independent two-year review there was no evidence that operative repair offered improved symptomatic or functional benefit.
100例踝关节外侧韧带急性断裂患者被随机分为两组，一组采用石膏固定保守治疗，另一组进行手术修复。借助应力造影确定损伤程度。每个治疗组中有30例单纯距腓前韧带断裂患者和20例伴有跟腓韧带断裂患者。手术修复在最初几周并发症发生率较高，且患者恢复工作稍有延迟。在独立的两年随访中，没有证据表明手术修复能带来更好的症状改善或功能益处。
